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1033761028
TYNISHA MARIE KOENIGSAECKER
SACRAMENTO, CA
NPI
1033761028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-07-10
Last Update Date
2019-07-10
Business Address
TYNISHA MARIE KOENIGSAECKER
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 530-604-8549
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Mailing Address
TYNISHA MARIE KOENIGSAECKER
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number:
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